Pten gene known fam variant at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$43.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$73.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$24.09 with United Healthcare vs $175.71 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Compass Exchange | $24.09 | ↓ -45% |
| UPMC Health Plan | CHIP | $25.55 | ↓ -42% |
| Aetna | Neighborhood Network | $25.62 | ↓ -42% |
| Aetna | EBR FI | $27.74 | ↓ -37% |
| Aetna | Home Depot Employer Group | $27.89 | ↓ -36% |
| United Healthcare | All Business | $28.47 | ↓ -35% |
| Aetna | NBR ASO/FI | $28.47 | ↓ -35% |
| Cigna | NBR ASO/FI | $28.47 | ↓ -35% |
| Cigna | New Business ASO | $28.47 | ↓ -35% |
| Cigna | EBR | $29.20 | ↓ -33% |
| Aetna | EBR ASO | $29.20 | ↓ -33% |
| Cigna | Commercial | $29.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $35.81 | ↓ -18% |
| InterGroup | PPO | $36.50 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $37.74 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $40.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $40.15 | ↓ -8% |
| UPMC Work Partners | Workers Comp | $46.06 | ↑ +5% |
| UPMC Health Plan | Managed Medicare | $46.73 | ↑ +7% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $47.61 | ↑ +9% |
| United Healthcare | Unison Advantage Non Special Needs | $48.93 | ↑ +12% |
| Aetna of PA | Medicare | $48.93 | ↑ +12% |
| United Healthcare | Medicare | $49.86 | ↑ +14% |
| Highmark Wholecare (prev Gateway) | Medicare | $50.32 | ↑ +15% |
| Cigna | Medicare | $50.33 | ↑ +15% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $50.33 | ↑ +15% |
| AmeriHealth Caritas | Medicare | $50.33 | ↑ +15% |
| Coventry/First Health | Commercial | $51.10 | ↑ +17% |
| Aetna | Medicare | $51.26 | ↑ +17% |
| United Healthcare | Unison Advantage Special Needs | $51.26 | ↑ +17% |
| Private Health Care Systems | PPO | $58.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $65.60 | ↑ +50% |
| Highmark BCBS of PA | Managed Care | $87.85 | ↑ +101% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $109.22 | ↑ +149% |
| Highmark BCBS of PA | Commercial - Indemnity | $146.28 | ↑ +234% |
| Highmark BCBS of PA | UPMC Emergent | $175.71 | ↑ +301% |
Visitor-reported prices
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Pten gene known fam variant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $39.60 | $23.10 – $52.80 |
| UPMC Cole | Coudersport | $200.40 | $46.06 – $267.20 |
| UPMC Hamot | Erie | $46.80 | $37.38 – $50.33 |
| UPMC Magee | Pittsburgh | $281.40 | $37.74 – $51.26 |
| UPMC Mercy | Pittsburgh | $43.80 | $37.38 – $51.26 |
| UPMC Passavant-McCandless | Pittsburgh | $40.80 | $37.74 – $53.56 |
| UPMC Presbyterian | Pittsburgh | $121.20 | $34.12 – $53.56 |
| UPMC Williamsport | Williamsport | $42.00 | $36.39 – $50.88 |